Clinical Practice Guideline for the

Diagnosis and Management of Group

A Streptococcal Pharyngitis : 2012
Update by the Infectious Diseases
Society of America

Pembimbing : dr. Khairan Irmansyah, Sp.THTKL, M.Kes

Eleonora Rumande Bandu S.ked

Fachdepy Maulana Ngangi S.ked

Pharyngitis
Pharyngitis

is inflammation of
the pharynx to an infectious
agent.

Most

common infectious agent

are Group A Streptococcus and
Various Viral agent

Often

co-exist with tonsilitis

Signs and Symptoms

Sore throat with cold

Risk Factors
Cold

and flu seasons

Having close contact with
someone who has a sore throat or
cold
Smoking or exposure to
secondhand smoke
Frequent sinus infections
Allergies
Attending daycare

Clinical Practice Guideline for the Diagnosis and

Management of Group A Streptococcal Pharyngitis : 2012
Update by the Infectious Diseases Society of America

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INTRODUCTION

Epidemiologic and Clinical Features

Suggestive of
Group A Streptococcal and Viral
Pharyngitis

Microbial Etiology of Acute Pharyngitis

How Should the Diagnosis of GAS

Pharyngitis Be Established?

How Should the Diagnosis of GAS

Pharyngitis Be Established? (2)

Who Should Undergo Testing for

GAS Pharyngitis?

Testing for GAS

Diagnostic
Follow-up
testing
studies
pharyngitis
or
forempiric
GAS usually
treatment
is notofrecommended
asymptomaticfor
househo
childr

What Are the Treatment Recommendations for

Patients With
a Diagnosis of GAS Pharyngitis?

Should Adjunctive Therapy With Nonsteroidal

Antiinflammatory
Drugs (NSAIDs), Acetaminophen, Aspirin, or
Corticosteroids Be Given to Patients Diagnosed With GAS
Pharyngitis?
Adjunctive therapy may be useful in the management of GAS

Is the Patient With Frequent Recurrent Episodes of

Apparent
GAS Pharyngitis Likely to Be a Chronic Pharyngeal
Carrier of
GAS?
We

recommend that clinicians caring for

patients with recurrent episodes of pharyngitis
associated with laboratory evidence of GAS
pharyngitis consider that they may be
experiencing >1 episode of bona fide
streptococcal pharyngitis at close intervals, but
they should also be alert to the possibility that
the patient may actually be a chronic
pharyngeal GAS carrier who is experiencing
repeated viral infections

We

recommend that GAS carriers do not

ordinarily justify efforts to identify them

nor do they generally require antimicrobial
therapy because GAS carriers are unlikely
to spread GAS pharyngitis to their close
contacts and are at little or no risk for
developing suppurative or nonsuppurative
complications.

We

do not recommend

tonsillectomy solely to reduce the

frequency of GAS pharyngitis

Thank You